Peterson, Kacie Webb

Peterson, Kacie Webb is an individual health care provider with primary practice located at 852 University Dr , Lake Charles LA 70605-6120. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Peterson, Kacie Webb can be contacted via phone (337) 419-0086.

Contact Information

Primary practice address
852 University Dr Lake Charles LA 70605-6120
Phone: (337) 419-0086
Fax: (337) 415-0626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7374 Louisiana

Profile Details

NPI number 1598147753
LBN Legal business name Peterson, Kacie Webb
Credentials MA, CCC-L/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Mar 21st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598147753 NPPES
Louisiana MEDICAID 2450662

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